Individual provider Active NPI

Jamie Ware-Jondreau, LPC

  • Professional Counselor
  • Williamsburg, VA
National Provider Identifier
1316288095
Registry record updated Jan 31, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
0701005055 Issued in VA
Practice address
1307 Jamestown Rd Ste 202
Williamsburg, VA 23185-3392
Phone
(757) 229-7927
Fax
(757) 253-8891
NPI assigned
Mar 6, 2013
Last updated
Jan 31, 2017By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 31, 2017

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 0701005055 VA Primary

Addresses

Primary practice location

1307 Jamestown Rd Ste 202
Williamsburg, VA 23185-3392

Mailing address

1307 Jamestown Rd Ste 202
Williamsburg, VA 23185-3392
Phone (757) 229-7927

Other identifiers 1

IdentifierTypeStateIssuer
1316288095MedicaidVA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240611001112 VA Practitioner - Mental Health Counselor 8224570874 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Fli, PLCGroup PAC ID 6204979073, 8 clinicians

Practice addresses (Care Compare)

1307 Jamestown Rd
Suite 202
Williamsburg, VA 23185-3392
Phone (757) 229-7927

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
0701005055VAMDProfessional Counselor

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1362528000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1485820800000",
    "number": "1316288095",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1307 JAMESTOWN RD STE 202",
            "city": "WILLIAMSBURG",
            "state": "VA",
            "postal_code": "231853392",
            "telephone_number": "757-229-7927",
            "fax_number": "757-253-8891"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1307 JAMESTOWN RD STE 202",
            "city": "WILLIAMSBURG",
            "state": "VA",
            "postal_code": "231853392",
            "telephone_number": "757-229-7927",
            "fax_number": "757-253-8891"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WARE-JONDREAU",
        "first_name": "JAMIE",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-03-06",
        "last_updated": "2017-01-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "VA",
            "license": "0701005055",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1316288095",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Williamsburg, VA

Sources for this page

Verify at the official NPI Registry.